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Homeschool Prom Registration

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PROM LOCATION: 10925 Trailhaven Rd Rogers Mn  Jesus People Church (County Road 117 is often listed as 109th Street on the GPS)

Parents are invited to chaperone, help with set up and clean up
Parents are welcome to stop in at any point of the evening - check in with the WEST Director upon arrival

1. *

Student Last Name

2. *

Student First Name

3. *

Student Email

4. *

Student Phone

5. *

Student Age

6.*

Student Grade Level

7.*

Is student currently registered at WEST?

8.*

Is student homeschooled?

9. *

If not homeschooled, who is student a guest of? (List name/s)

10.*

Do you need a dairy free food option?

Gluten Free options are already on the menu

 (1 required)
Yes No
11. *

Parent Last Name

12. *

Parent First Name

13. *

Parent Email

14. *

Parent Home Phone

15. *

Parent Cell Phone

16. *

Emergency Contact Information: Name, Phone and Relationship

Photography Order Form Here
Print off, bring to WEST before Prom OR bring with on the evening of Prom

17.*

Curfew Notice:
I have given my student permission to be at the WEST Prom until midnight. 

 (2 required)
Parent Agrees Student Agrees
18.*

Dress Code is Formal
Any questions or clarification - ask WEST

Girls

  1. ALL dress must cover ALL cleavage - no exceptions!
    • Practice leaning over to make sure your chest remains covered and not exposed
    • Practice dancing in your dress to make sure everything stays in place
      • Pins, dress tape, sweaters, shawls and tightening of straps are your friends!
  2. Back of dress must drop no lower than the midback area
  3. Tops and bottoms must overlap so midriff skin is not exposed, even when sitting or raising arms
  4. Length of dress must be no higher than 2 inches above the knee

Guys

  1. Dress pants/Nice pants/Suits/Tuxedos - no blue jeans, no shorts, no rips, no tears
  2. Dress shirt/Collared button down shirt - no rips, no tears
  3. Tie
  4. Belt

Provision for infractions:

  • Students will be offered an XL t-shirt by chaperone that they will need to wear.
  • This will make it possible for students to still attend the prom.
  • Consequence for not wearing t-shirt when requested by chaperone: Student will leave prom.
 (2 required)
Parent Agrees Student Agrees
19.*

Code of Conduct

This code of conduct is based on 5 premises:

  1. Treatment of other people (fellow students, tutors and staff) must always be respectful.
  2. This facility and all property will not be abused.
  3. Each student is responsible for his/her own personal possessions.
  4. Each student is accountable for his/her own actions.
  5. Each student’s dress and actions should encourage others to Godliness.

Arrival

Student will arrive between 5:30 and 7:00 pm
Students MUST check in at entrance when arriving

Departure

Students will depart at Midnight
Students MUST check out with WEST Director before leaving event

Students will not be allowed to exit the building once entering until prom is over (11:00 pm) or bonfire is over (midnight)

 

Dinner
There is no assigned dinner seating

 

Dancing & Bodily Contact

Dance instruction and DJ music is approved by WEST
Lyrics will be free of swearing and inappropriate sexual content
This is at the discretion of WEST

Our goal is to keep all students free from physical harassment of any kind

Therefore:

  • No P.D.A.s (No inappropriate Physical Displays of Affection)
    • Guys and Girls will NOT sit on each other laps, kiss, etc
    • Bumping and grinding or any form of inappropriate dancing is prohibited
    • Space between partners while dancing

 

Prohibited Substances
No warning will be given in this category.

Tobacco, drugs, alcohol, weapons, and fireworks are not allowed in the building or parking areas.
Anyone discovered with possession of any of these items during the prom event will be immediately removed WITHOUT REFUND.

Provision for infractions:

  • Students will be removed from event
  • Proper authorities will called if necessary
  • Parents will be notified
 (2 required)
Parent Agrees Student Agrees

 

        Photography
       
Students and parents are welcome to take photographs of the event
        Candid photography is welcome
        WEST photography is property of WEST for the use of memories and promotion

 

20.*

General Expectations

As a Christian organization, WEST is committed to respect the position of the Jesus People Church and their facility which we are renting, and not to engage in any activities that would bring scandal to the Church.

 (2 required)
Parent Agrees Student Agrees
21.*

WEST Liability

  • All bags will be check in at the beginning of the event
  • All bags will be returned at the end of the event
  • Bags will not be gone through during the event
  • WEST is not responsible for lost or stolen items
  • WEST will do its best to ensure the safety and security of anything or anyone however, WEST is not held liable for injury, theft and the like

LEGAL WAIVER

I agree prior to participating, I and the minor participant (student), will inspect the facilities and equipment to be used. If I believe anything is unsafe, I will immediately advise the administrators of such conditions.

I acknowledge and fully understand that each participant will be engaged in activities that involve risk of injury which might result not only from their own actions, inactions or negligence, but the actions, inactions or negligence of others, the rules of conduct, or conditions of the premises or any of the equipment used. Further, that there may be risks not known to us or foreseeable at the time.

I assume all foregoing risk and accept personal responsibility for the damages following such injury.

I, intending to be legally bound, do hereby release, waive, discharge and consent not to sue WEST’s administrators, board, employees, tutors or volunteers of the organization, other participants and Jesus People Church, all which are herein after referred to as “released” from any and all liability to each the undersigned, his or hers and next of kin for any claims, demands, losses or damages, on account of injury including death or damage to property, caused or alleged to cause in whole or part by negligence to the release of otherwise in connection with association or entry and/or arising in participation in activities led by WEST.

I hereby release all members of WEST of any and all liability resulting from medical treatment. I understand if medical attention is necessary and I am not present, WEST has my permission to call an ambulance to transport any family member I have listed above to the nearest medical facility for emergency medical treatment. I am responsible for all expenses incurred.

THE ELECTRONICALLY SIGNED HAS READ THE ABOVE WAIVER AND RELEASE, AND UNDERSTANDS THAT HE/SHE HAS GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGNS IT VOLUNTARILY.

 (2 required)
Parent Agrees Student Agrees

 

 

Click the "submit" button at the bottom of the screen to be directed to the payment page.  
Your registration is complete once payment is received.
If paying by check, click submit, mail in or bring payment in to WEST and you are registered

Pay by PayPal or mail check in to WEST at 223 Cherrywood Ave NW St Michael MN  55374

 

 

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